Provider Demographics
NPI:1619057916
Name:ST.LOUIS, YOLAINE M (MD)
Entity Type:Individual
Prefix:DR
First Name:YOLAINE
Middle Name:M
Last Name:ST.LOUIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 UNIONDALE AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-3235
Mailing Address - Country:US
Mailing Address - Phone:516-485-4630
Mailing Address - Fax:516-489-3682
Practice Address - Street 1:905 UNIONDALE AVE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-3235
Practice Address - Country:US
Practice Address - Phone:516-485-4630
Practice Address - Fax:516-489-3682
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155165208000000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01027027Medicaid
NYA60177Medicare UPIN
NY01027027Medicaid